Individual provider Active NPI

Railey Nadine Hansen-Keith, DPT

  • Physical Therapist
  • Snohomish, WA
National Provider Identifier
1801421573
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61028650 Issued in WA
Practice address
231 Avenue D
Snohomish, WA 98290-2744
Phone
(360) 563-1020
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61028650 WA Primary

Addresses

Primary practice location

231 Avenue D
Snohomish, WA 98290-2744

Mailing address

1308 80TH Ave SE
Lake Stevens, WA 98258-7324
Phone (425) 345-8286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603001956 WA Practitioner - Physical Therapist in Private Practice 0143641951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Practice addresses (Care Compare)

231 Ave D
Snohomish, WA 98290-2744
Phone (360) 563-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61028650WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030

231 Avenue D
Snohomish, WA 98290
Phone (360) 563-1020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1801421573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 80TH AVE SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587324",
            "telephone_number": "425-345-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902744",
            "telephone_number": "360-563-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN-KEITH",
        "first_name": "RAILEY",
        "middle_name": "NADINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61028650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.